Doctor insights on:
Is Melatonin Safe For Dementia Patients With Afib
Prob: The question is whether we can figure out what is the cause of insomnia in a person with dementia---at times it can be caused by sleep architecture breakdown from the illness itself; at times from poor sleep hygiene; at times from meds or alcohol; at times from a sleep disorder such as apnea; can be from depression;; so important to first try to get to the cause... ...Read moreSee 2 more doctor answers
Yes: Latest published studies showed that alzheimer's patients lack melatomin related metabolism in the body resulting sundowning effect. With the introduction of taking melatonin at bedtime reduces the severity of sundowning and sleeping related behavioral issues but does not completely resolve... ...Read moreSee 1 more doctor answer
Yes: It is an excellent choice for elderly people with or without vascular dementia who have sleep onset insomnia. It does not have the high fall risks associated with the other sedative hypnotics. It also can strengthen the circaidian rhythm that is weakened in dementia patients. ...Read moreSee 1 more doctor answer
Is risperdal .5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.
No: According to all studies so far, any antipsychotic used for the purpose of treating behavioral problems or psychosis related to dementia is associated with earlier stroke-related death. This occurs regardless of the antipsychotic and the dose. There are some studies that have shown some antipsychotics to be safer than others (like quetiapine) but those studies are small and inconclusive. ...Read moreSee 1 more doctor answer
Is recommended for a 93 years patient with vascular dementia take a hipnotic drug with clonazepan for insomnio?
Complex: Sleep problems are common in older adults and even more common in those with dementia. Causes of sleep problems are varied and as dementia progresses they change. Getting enough exercise early in the day is helpful. Many sleeping medications worsen confusion or cause side effects in those with dementia. Melatonin or warm decaf tea have minimal risk. Some antidepressants can help at least for awhil. ...Read moreSee 1 more doctor answer
82 yoM, Pradaxa(Afib) til 7/8, when pain, small gangrene 5th toe. Now much worse.CABG, dementia, uses walker. Arteriogram/surg possible before 7/15?
Unclear question.: certainly consulting current treating physicians about surgery on the toe makes sense. The things that increase risk of heart disease and need for CABG all increase likelihood of dementia. Major surgeries like a CABG can cause, worsen and/or make cognitive impairment and dementia more apparent. Palliative care and symptom management may be a preferred approach. ...Read moreSee 2 more doctor answers
Yes: Some studies have shown CoQ10 enzyme to be of benefit in heart failure and reducing cholesterol but not enough evidence to support use in the treatment. There have been no studies linking it to Crohn's disease and no harmful events as a result from CoQ10 have been found in any studies. It will change the efficacy of other medicine you are taking so please notify you doctor if you take it. ...Read more
Is it safe to take clonazepam for sleep with sinemet (carbidopa and levodopa) for Parkinsons patient? Are there any drug interactions?
You can use a drug interaction checker whenever you have questions about drug-drug interactions or drug - food interactions. Here is 1 option (Drugs.Com): https://www.drugs.com/drug_interactions.php Your pharmacist is also a good source of info.
Is Lexapro (escitalopram) safe to use in a cardiac patient with 2 stents......also is the QT prologation warning usually for higher doses?
Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?
Atrial fibrillation: Quinidine is only rarely used any more. We older doctors learned years ago that we killed some folks with it. There are more recent and safer drugs that we use now. Talk to your doctor to discuss if you have afib, a cloud doctor shouldn't be advising you without knowing your situation. ...Read more
Yes: There are no significant cardiovascular side effects or adverse responses. ...Read more
Is Prozac (fluoxetine) safe for use in cardiac patients who are on aspirin -losartan-plavix and cardizem cd?
Yes: Many patients are on this combination without a problem. ...Read more
Prozac (fluoxetine) renal disease: Fluoxetine is primarily metabolized by the liver. All but one metabolites are inactive, and they are excreted by the kidney. The clearance of norfluoxetine, the active metabolite, is not dependent on renal function. Dosage adjustments are generally not deemed necessary in patients with impaired renal function. www.drugs.com. ...Read moreSee 1 more doctor answer
Is Buspar (buspirone) safe for patients with arrhythmia? (wpw) i'm on lopressor, synthroid, and multiple vitamin daily. Any risks?
Usually, safe.: Although theoretically, there could be blood pressure or heart rate effects of Buspar (buspirone) due to its effects upon serotonin and dopamine, there are no reports of buspar-induced wpw-associated arrhythmias. Interestingly, although IV beta-blocker might not halt a wpw-related arrhythmia, oral beta blockers seem to decrease stress-related recurrences of tachycardia in WPW patients. ...Read more
Is Complicated: by many factors. Medical decision is not purely book knowledge. It is combination of book knowledge, clinical judgment, based on information about the patient. There is no way to answer this question without knowing what kind of cardiac patient, what the cardiac patient is taking, why the patient is being treated with trazodone, etc. Please don't jump to conclusions based on what you read. ...Read more
Beta Blockers/Ca Cha: Beta blockers and calcium channel blockers are often used for PSVT(Persistant Supra Ventricular Tachycardia) But other drugs like Ace inhibiters and Angiotensin Recepter Blockers are also safe to use as there is no conrtraindications to use if Beta Blockers And ARBS are not able to bring BP down ...Read more
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